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1508270992
COREY WOOD
FAYETTEVILLE, AR
NPI
1508270992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AR AT 523)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
-- COREY WOOD
1255 S. RAZORBACK RD. BAUM STADIUM
FAYETTEVILLE, AR 72701
Phone number: 479-935-7245
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Mailing Address
-- COREY WOOD
1665 S RADISSON DR APT 206
FAYETTEVILLE, AR 72701-5549
Phone number:
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